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Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation.
Cleft Palate Craniofac J 2018; 55(7):935-940CP

Abstract

OBJECTIVE

The objective of this study was to assess the efficacy of presurgical nasoalveolar molding (PNAM) on long-term nasal symmetry and shaping after primary cheiloplasty in patients with unilateral complete cleft lip/palate (UCL/P).

DESIGN

This was a two-group, parallel, retrospective, randomized clinical trial.

SETTING

The setting for this study was the Chang Gung Craniofacial Center in Taoyuan, Taiwan.

PATIENTS

Patients were divided into one of the following two groups: infants with UCL/P who underwent PNAM (PNAM group, n = 42) and infants with UCL/P who did not undergo PNAM (non-PNAM group, n = 42).

INTERVENTIONS

Interventions included PNAM and primary cheiloplasty without nasal cartilage dissection.

MAIN OUTCOME MEASURES

In this study, 4- to 5-year postoperative full-face and submental oblique photographs were taken of all patients and scored from 1 to 5 points by 10 medical evaluators. The scores were statistically analyzed using repeated-measures analysis of variance, and P < .05 was considered to represent statistical significance.

RESULTS

After 1 to 3 months of PNAM but before primary cheiloplasty, the displaced nasal and alveolar cartilage showed obvious improvement. However, the scores in the PNAM and non-PNAM groups at 4 to 5 years postoperatively were 66.62 ± 14.25 and 66.31 ± 15.08, respectively. There was no significant difference between the two groups (F = 0.009, P = .923).

CONCLUSION

PNAM as an early-stage adjunctive therapy for nasal deformity correction is beneficial before primary cheiloplasty, but it is insufficient to maintain long-term nostril symmetry after primary cheiloplasty without nasal cartilage dissection.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28085515

Citation

Liang, Zhigang, et al. "Effect of Presurgical Nasoalveolar Molding On Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients After Primary Cheiloplasty Without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 55, no. 7, 2018, pp. 935-940.
Liang Z, Yao J, Chen PKT, et al. Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation. Cleft Palate Craniofac J. 2018;55(7):935-940.
Liang, Z., Yao, J., Chen, P. K. T., Zheng, C., & Yang, J. (2018). Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 55(7), pp. 935-940. doi:10.1597/14-296.
Liang Z, et al. Effect of Presurgical Nasoalveolar Molding On Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients After Primary Cheiloplasty Without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation. Cleft Palate Craniofac J. 2018;55(7):935-940. PubMed PMID: 28085515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation. AU - Liang,Zhigang, AU - Yao,Jinfeng, AU - Chen,Philip K T, AU - Zheng,Cangshang, AU - Yang,Jiying, Y1 - 2018/02/22/ PY - 2017/1/14/pubmed PY - 2019/11/5/medline PY - 2017/1/14/entrez KW - nasal deformity KW - presurgical nasoalveolar molding KW - unilateral complete cleft lip/palate (UNCL/P) SP - 935 EP - 940 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 55 IS - 7 N2 - OBJECTIVE: The objective of this study was to assess the efficacy of presurgical nasoalveolar molding (PNAM) on long-term nasal symmetry and shaping after primary cheiloplasty in patients with unilateral complete cleft lip/palate (UCL/P). DESIGN: This was a two-group, parallel, retrospective, randomized clinical trial. SETTING: The setting for this study was the Chang Gung Craniofacial Center in Taoyuan, Taiwan. PATIENTS: Patients were divided into one of the following two groups: infants with UCL/P who underwent PNAM (PNAM group, n = 42) and infants with UCL/P who did not undergo PNAM (non-PNAM group, n = 42). INTERVENTIONS: Interventions included PNAM and primary cheiloplasty without nasal cartilage dissection. MAIN OUTCOME MEASURES: In this study, 4- to 5-year postoperative full-face and submental oblique photographs were taken of all patients and scored from 1 to 5 points by 10 medical evaluators. The scores were statistically analyzed using repeated-measures analysis of variance, and P < .05 was considered to represent statistical significance. RESULTS: After 1 to 3 months of PNAM but before primary cheiloplasty, the displaced nasal and alveolar cartilage showed obvious improvement. However, the scores in the PNAM and non-PNAM groups at 4 to 5 years postoperatively were 66.62 ± 14.25 and 66.31 ± 15.08, respectively. There was no significant difference between the two groups (F = 0.009, P = .923). CONCLUSION: PNAM as an early-stage adjunctive therapy for nasal deformity correction is beneficial before primary cheiloplasty, but it is insufficient to maintain long-term nostril symmetry after primary cheiloplasty without nasal cartilage dissection. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/28085515/Effect_of_Presurgical_Nasoalveolar_Molding_on_Nasal_Symmetry_in_Unilateral_Complete_Cleft_Lip/Palate_Patients_after_Primary_Cheiloplasty_without_Concomitant_Nasal_Cartilage_Dissection:_Early_Childhood_Evaluation_ L2 - http://journals.sagepub.com/doi/full/10.1597/14-296?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -